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 **U.S. Railroad Retirement Board**
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 Appendix I: Electronic File Format, Form BA-15, Report of Stock Options and Other Payments
 Home
          Labor Employer Reporting Instructions (LERI)
          Appendices
          Appendix I: Electronic File Formats
          Appendix I: Electronic File Format, Form BA-15, Report of Stock Options and Other Payments
 Topics
    

      
              Part I - Prerequisite Knowledge for Labor Employer Reporting
          Part II - Establishment of Employee Records
          Part III - Principles of Service and Compensation
          Part IV - Particular Types of Compensation Payments
          Part V - Reports of Creditable Service and Compensation
          Part VI - Reports Related to Service and Compensation
          Part VII - Additional Communications about Service and Compensation Reports
          Part VIII - Employer Reporting System (ERS) Internet User Instructions
          Appendices
                                Appendix I: Electronic File Formats
                                Appendix I: Electronic File Format, Form BA-3, Annual Report of Creditable Compensation
          Appendix I: Electronic File Format, Form BA-3, Annual Report of Creditable Compensation (Grand Total Record)
          Appendix I: Electronic File Format, Form BA-3, Annual Report of Creditable Compensation (Sub-Total Record)
          Appendix I: Electronic File Format, Form BA-4, Report of Creditable Compensation Adjustments
          Appendix I: Electronic File Format, Form BA-4, Report of Creditable Compensation Adjustments (Grand Total Record)
          Appendix I: Electronic File Format, Form BA-4, Report of Creditable Compensation Adjustments (Sub-Total Record)
          Appendix I: Electronic File Format, Form BA-6A, Form BA-6 Address Report
          Appendix I: Electronic File Format, Form BA-9, Report of Separation Allowance or Severance Pay
          Appendix I: Electronic File Format, Form BA-11 Report of Gross Earnings (Annual Earnings)
          Appendix I: Electronic File Format, Form BA-11 Report of Gross Earnings (Quarterly Earnings)
          Appendix I: Electronic File Format, Form BA-11, Report of Gross Earnings (Monthly Earnings)
          Appendix I: Electronic File Format, Form BA-15, Report of Stock Options and Other Payments
          Appendix II:  Railroad Retirement Board Jurisdiction Referral Guide
          Appendix III: Position Description: Special Agent/National Reporting Officer
          Appendix IV:  Instructions for Form OE-1a
          Appendix V:  Instructions for Form OE-1
          Appendix VI: Earnings Bases and Tax Rates
          Appendix VII:  Understanding Edit Checks of Tier I and Tier II Compensation
          Appendix VIII:  Service and Compensation Referrals to Employers Appendix I: Electronic File Format, Form BA-15, Report of Stock Options and Other Payments
							 
							
							
            pdf iconLERI-App. I_Form BA-15 (186.43 KB)
      
            The purpose of this report is to obtain information on Medicare wages, non-qualified stock options, and ratification payments issued to railroad employees.  This information is essential in determining the payroll tax amounts involved in the financial interchange with the Social Security Administration and the Centers for Medicare & Medicaid Services. This report is required by law under Section 7(b)(6) of the Railroad Retirement Act. The information is authorized for collection under OMB control number 3220-0203. This report is due at the Railroad Retirement Board by no later than the last day of February following the report year. Failure to report or the making of a false or fraudulent report can result in criminal prosecution or civil penalties, or both.

We estimate this form will take an average of 300 minutes per positive response to complete and an average of 15 minutes per negative response to complete.  Responses include the time for reviewing the instructions, getting the needed data, and reviewing the completed form. Federal agencies may not conduct or sponsor, and respondents are not required to respond to, a collection of information unless it displays a valid OMB number.  If you wish, send comments regarding the accuracy of our estimate or any other aspect of this form, including suggestions for reducing completion time, to

Associate Chief Information Officer for Policy & ComplianceRailroad Retirement Board844 North Rush StreetChicago, IL 60611-1275

NOTE: Reports submitted on CD ROM, secure email, or FTP must be accompanied by Form G-440, "Report Specifications Sheet".

Report of Stock Options and Other PaymentsColumn
			Field Length
			Record Position
			Data and Instructions1
			1
			1
			I = Initial; R = Replacement2
			4
			2-5
			Year Being reported (CCYY).3
			4
			6-9
			Four-digit employer BA number assigned by the Railroad Retirement Board.4
			9
			10-18
			Employee's social security account number.5
			20
			19-38
			First twenty (20) characters of the employee's surname.  Space in such names as O Grady or De La Cross are acceptable.6
			15
			39-53
			First fifteen (15) characters of the employee's first name.7
			1
			54
			Employee's middle initial.8
			1
			55
			Filler, leave blank9
			10
			56-65
			Medicare Wages and Tips First Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.10
			10
			66-75
			Medicare Wages and Tips Second Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.11
			10
			76-85
			Medicare Wages and Tips Third Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.12
			10
			86-95
			Medicare Wages and Tips Fourth Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.13
			1
			96
			Filler, leave blank14
			10
			97-106
			RRTA Gross Compensation First Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.15
			10
			107-116
			RRTA Gross Compensation Second Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.16
			10
			117-126
			RRTA Gross Compensation Third Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.17
			10
			127-136
			RRTA Gross Compensation Fourth Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.18
			1
			137
			Filler, leave blank19
			10
			138-147
			Non-Qualified Stock Options First Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.20
			10
			148-157
			Non-Qualified Stock Options Second Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.21
			10
			158-167
			Non-Qualified Stock Options Third Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.22
			10
			168-177
			Non-Qualified Stock Options Fourth Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.23
			1
			178
			Filler, leave blank24
			10
			179-188
			Ratification Payments First Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.25
			10
			189-198
			Ratification Payments Second Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.26
			10
			199-208
			Ratification Payments Third Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.27
			10
			209-218
			Ratification Payments Fourth Quarter Amount - 10 positions ($$$$$$$$¢¢), preceded by zero(s) if necessary.NOTE: If there are no earnings for the quarter, zero-fill.
        ‹ Appendix I: Electronic File Format, Form BA-11, Report of Gross Earnings (Monthly Earnings) | 
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                      Appendix II:  Railroad Retirement Board Jurisdiction Referral Guide ›To view and download PDF documents, you need the free Acrobat Reader. We recommend using the latest version. Viewers with visual disabilities can go to Adobe's Access Website for tools and information that will help make PDF files accessible.Get Adobe Acrobat Reader
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 Last updated: 07/27/2022